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General NPI Number Information
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NPI Number | 1346789831
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Entity Type | Organization
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Legal Business Name | SAVING GRACE HOMES AND COMMUNITY LIVING
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 02/17/2017
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Provider Practice Location Address
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Address Line | 7813 ALSOP WAY
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City | SPOTSYLVANIA
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State | VA
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Zip | 22551-3385
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Country | US
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Telephone | 540-424-9216
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Fax |
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Provider Business Mailing Address
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Address Line | 7813 ALSOP WAY
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City | SPOTSYLVANIA
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State | VA
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Zip | 22551-3385
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Country | US
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Telephone | 540-424-9216
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAWANNA DAVIS
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Credential |
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Telephone | 540-424-9216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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